STANLEY H KIM (NPI# 1871578252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871578252 |
| Entity Type | Individual |
| Full Name | STANLEY H KIM |
| Credential | M.D. |
| Practice Address |
8333 Cross Park Dr Austin TX 78754-5154 |
| Practice Telephone | 5124946024 |
| Practice Fax Number | 8665636244 |
| Mailing Telephone | 5124946024 |
| Mailing Fax Number | 8665636244 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2019-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | L6472 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
L6472 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 162671501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578065553 | Stanley Sooyoun Kim | Driver | 609 Hazelton St, Maricopa, CA 93252 | 2018-03-06 |
| 1962805101 | Stanley Kim | Dentist | 7839 Eastern Avenue, Suite #7842, Baltimore, MD 21224 | 2014-10-02 |
| 1306940705 | Stanley I Kim | Internal Medicine | 981 W Foothill Blvd, Claremont, CA 91711-3304 | 2006-09-08 |
| 1306850433 | Stanley Kim | Specialist | 34 Progress St # 36, Suite A7, Edison, NJ 08820-1103 | 2006-07-27 |
| 1801245535 | Stanley Kim | Internal Medicine | 2100 Dorchester Ave, Dept. of Medicine, Dorchester, MA 02124-5615 | 2016-06-03 |
| 1093933400 | Stanley Shinyeong Kim | Dentist | 701 S Raymond Ave Ste 4b, Fullerton, CA 92831-5201 | 2007-04-23 |
| 1003837840 | Stanley S. Kim | Ophthalmology | 3663 W 6th St, Suite #200, Los Angeles, CA 90020-3049 | 2006-07-21 |
| 1437188018 | Stanley Kim | Radiology | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2006-07-03 |
| 1790779791 | Stanley T Kim | Radiology | 2300 Children's Plaza, No. 9, Children's Memorial Hospital, Chicago, IL 60614 | 2005-09-06 |
| Street Address |
8333 CROSS PARK DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78754-5154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1174006324 | Lannie Hood | Licensed Practical Nurse | 9017 Wellesley Dr, Austin, TX 78754 | 2018-09-13 |
| 1013499680 | Angela Mccaughey | Physical Therapy Assistant | 6513 Boyce Ln, Austin, TX 78754 | 2018-08-30 |
| 1518484351 | St. Teresa of Calcutta Home Health, LLC | Home Health Aide | 12609 Dessau Rd. Lot 313, Austin, TX 78754 | 2017-08-23 |
| 1386050573 | Tuyen Dao | Pharmacist | 11403 Birchover Lane, Austin, TX 78754 | 2014-07-08 |
| 1568895829 | Cameron Diagnostic Center, Inc | Contractor | 7901 Cameron Rd.bldg.2 Suite 143, Austin, TX 78754 | 2013-08-09 |
| 1427495415 | Universal Diagnostic Services Inc | Specialist | 7901 Cameron Rd Bldg 2, Suite 144, Austin, TX 78754 | 2013-05-30 |
| 1598044414 | Sleiman Weight Loss Centers Pa | Family Medicine | 7901 Cameron Rd Bldg 3, Suite 105, Austin, TX 78754 | 2011-08-09 |
| 1922321462 | Nowling Home Healthcare Inc | Hospice Care, Community Based | 7901 Cameron, Building 3 Suite 135, Austin, TX 78754 | 2010-03-11 |
| 1760714240 | Shireen Connor | Social Worker | 1611 Headway Circle, Bldg. 2, Austin, TX 78754 | 2010-02-08 |
| Find all providers in zip 78754 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124429923 | Dhruve Satish Jeevan | Neurological Surgery | 12319 N Mopac Expy Ste 150, Austin, TX 78758-2648 | 2014-09-11 |
| 1861783144 | Alexa Bodman | Neurological Surgery | 3000 N Ih 35 Ste 600, Austin, TX 78705-1850 | 2011-04-21 |
| 1245444744 | Capital Neurosurgical Association | Neurological Surgery | 711 West 38th St, Ste D-4, Austin, TX 78705 | 2007-05-10 |
| 1528287851 | Marcella Madera | Neurological Surgery | 5656 Bee Caves Rd Bldg C Ste. 101, Austin, TX 78746 | 2007-04-25 |
| 1568584159 | Vincent Yat-chung Wang | Neurological Surgery | 1601 Trinity St Stop 704, Austin, TX 78712-1865 | 2007-04-04 |
| 1528134228 | Neurosurgical Specialists of Austin, P.a. | Neurological Surgery | 800 W 38th St, Suite 400, Austin, TX 78705-1142 | 2006-11-27 |
| 1225104995 | Ronald J Wilson | Neurological Surgery | 801 W 38th St Ste 400, Austin, TX 78705-1167 | 2006-11-27 |
| 1003834680 | James Rose | Neurological Surgery | 1400 N Ih 35 Ste 300, Austin, TX 78701-1926 | 2006-07-18 |
| 1013983121 | Gordon Leroy White | Neurological Surgery | 1600 W 38th Street, Suite 418, Austin, TX 78731-6407 | 2006-02-28 |
| 1285605196 | William Blaisedale Betts | Neurological Surgery | 3218 Park Hills Dr, Austin, TX 78746-5573 | 2006-01-30 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.